Quality of minor surgery carried out in primary or secondary care: population based randomised controlled equivalence trial

ISRCTN ISRCTN51268626
DOI https://doi.org/10.1186/ISRCTN51268626
Secondary identifying numbers HTA 95/25/03
Submission date
25/04/2003
Registration date
25/04/2003
Last edited
21/08/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Steve George
Scientific

University of Southampton Clinical Trials Unit
Mailpoint 131
Southampton General Hospital
Tremona Road
Southampton
SO16 6YD
United Kingdom

Phone +44 (0)23 8079 6533
Email pluto@soton.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typeTreatment
Scientific titleA prospective randomised comparison of minor surgery in primary and secondary care
Study acronymMiSTIC (Minor Surgery Trial In the Community)
Study objectivesIncreasingly with the move towards a "primary care led NHS" services previously provided within hospitals are being provided within primary care settings. One such service is minor surgery. Although minor surgery is widely practised in primary care it has not been subjected to critical analysis in a randomised study in terms of its safety, quality and cost effectiveness. This study is a prospective, randomised controlled trial comparing the treatment of minor surgical conditions in primary and secondary care in terms of these variables.

Please note that the target number of participants was added as of 02/12/2008.
Ethics approval(s)South and West Regional Research Ethics Committee, approved on 06/10/1999 (ref: 092/99)
Health condition(s) or problem(s) studiedLesions requiring minor surgery (predominantly skin)
InterventionInterventions amended as of 02/12/2008:
Elective minor surgeries in the categories described in the participants inclusion criteria field, delivered either in primary care, by the patient's own GP or by referral to a primary care colleague, or in hospital, by either surgeons or dermatologists at a variety of grades.

Previous interventions:
Quality of surgery performed in primary care vs surgery performed in hospital
Intervention typeProcedure/Surgery
Primary outcome measurePrimary outcome measures amended as of 02/12/2008:
Quality of treatment measured using cosmetic results of surgery.

Previous primary outcome measures:
Safety, quality and cost effectiveness.
Secondary outcome measuresAdded as of 02/12/2008:
1. Extent to which samples were sent for histology
2. Completeness of excision of malignant lesions
3. Patient satisfaction with aspects of care
Overall study start date01/05/1999
Completion date30/04/2002

Eligibility

Participant type(s)Patient
Age groupOther
SexBoth
Target number of participants490
Key inclusion criteriaInclusion criteria amended as of 02/12/2008:
All patients (both genders, no age limits) with one of a range of conditions amenable to minor surgery who were considered suitable for treatment by a participating GP or one of their partners. The study focuses on four categories of minor surgical treatment; excisions, incisions, aspirations and "other", including removal of foreign bodies.

Previous inclusion criteria:
Patients requiring minor surgery.
Key exclusion criteriaAdded as of 02/12/2008:
1. Patients whom operating doctor considered too complex for treatment in primary care
2. Patients requiring cautery
3. Patients requiring injections for the treatment of painful joints
Date of first enrolment01/05/1999
Date of final enrolment30/04/2002

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University of Southampton Clinical Trials Unit
Southampton
SO16 6YD
United Kingdom

Sponsor information

University of Southampton (UK)
University/education

Highfield
Southampton
SO17 1BJ
England
United Kingdom

Phone +44 (0) 23 8059 5000
Email rgoinfo@soton.ac.uk
Website http://www.soton.ac.uk/
ROR logo "ROR" https://ror.org/01ryk1543

Funders

Funder type

Government

NIHR Health Technology Assessment Programme - HTA (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2008 Yes No